PURE LIFE MEDICAL GROUP LLC
NPI 1275250433
Family Medicine in Cape Coral, FL

Q: What is Pure Life Medical Group LLC's NPI number?

The NPI number for Pure Life Medical Group LLC is 1275250433. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is doing business as Pure Life Medical Center.

Q: What is Pure Life Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 27, 2022

3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL 33904(239) 269-8767 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Sep 8, 2025, Nov 29, 2022 and 1 more (4 updates tracked since 2022).

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About Pure Life Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE LIFE MEDICAL GROUP LLC (NPI 1275250433), doing business as Pure Life Medical Center, is a healthcare organization registered as a family medicine in Cape Coral, Florida and active in the NPI registry since October 2022. The organization lists Yenisleydis Padron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275250433

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePURE LIFE MEDICAL GROUP LLC

Location Address3637 DEL PRADO BLVD S STE 305Cape Coral, FL 33904-7199

Mailing Address3637 Del Prado Blvd S Ste 305Cape Coral, FL 33904-7199 · (239) 269-8767

Phone(239) 269-8767

Organization SubpartNo

Authorized OfficialYenisleydis PadronCeo · (239) 269-8767

Enumeration DateOctober 27, 2022

Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1275250433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3637 DEL PRADO BLVD S STE 305, Cape Coral, FL 33904

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Other Names 1

Doing Business AsPure Life Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Life Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pure Life Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Saiful Islam, M.D.

Family Practice

NPI 1548261613

4771 S CLEVELAND AVE
Ft Myers, FL 33907

(239) 343-9800

✔ PECOS✔ Accepts Medicare4.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Life Medical Group LLC's NPI number?

The NPI number for Pure Life Medical Group LLC is 1275250433. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is doing business as Pure Life Medical Center.

Where is Pure Life Medical Group LLC located?

Pure Life Medical Group LLC is located at 3637 Del Prado Blvd S Ste 305, Cape Coral, FL 33904. The listed phone number is (239) 269-8767.

What is Pure Life Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pure Life Medical Group LLC enrolled in Medicare?

Yes. Pure Life Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Life Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pure Life Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Life Medical Group LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.